Actuarial methods for improving HCFA payments to risk HMOs : appendices to final report, April 12, 1996
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Actuarial methods for improving HCFA payments to risk HMOs : appendices to final report, April 12, 1996
- Publication date
- 1996
- Topics
- Medicare, Health maintenance organizations, Medicare -- Estimates -- Mathematical models, Medicare -- Costs, Health maintenance organizations -- United States -- Costs
- Publisher
- [Annandale, VA : Actuarial Research Corporation]
- Collection
- cms-reports; cmslibrary; fedlink; medicalheritagelibrary; americana
- Contributor
- Centers for Medicare & Medicaid Services Library
- Language
- English
Appendix A. Development of thresholds for outlier pools in 1995 alternative payment demonstration / prepared for Health Care Financing Administration, Actuarial Research Corporation... September 1994 -- Appendix B. [Re: Analysis of the cost of reinsurance options for the medicare choices demonstration, September 12, 1995 -- Appendix C. Experience-rated questionnaire for 1996 rates
Final report ;
"Four alternative payment methods were tested as alternatives to the Adjusted Average Per Capita Cost (AAPCC) : reinsurance, select and ultimate rates, partial capitation and blended rates, and experience rating. using data from the Continuous Medicare History Sample (CMHS) and from one HMO, the study concluded that there are a range of methods than can improve payment to HMOs. Specifically, partial capitation and blended rates were effective in limiting the financial risk incurred by plans. Reinsurance models protected against catastrophic costs incurred by plans while the rate adjustments used in select and ultimate rates can mitigate against severe selection effects. Finally, experience rating did not accurately predict future costs for Medicare beneficiaries. However, each method used in this study represented improvements over the current AAPCC."-- NTIS report documentation page
Photocopy
Prepared for: Department of Health & Human Services, Health Care Financing Administration ;
1 v. (various pagings) : 28 cm
Final report ; 1996
Photocopy. Springfield, VA. : Dept. of Commerce, National Technical Information Service, 28 cm
Prepared for: Department of Health & Human Services, Health Care Financing Administration ; Cooperative agreement no. 17-C-90033/3
Final report ;
"Four alternative payment methods were tested as alternatives to the Adjusted Average Per Capita Cost (AAPCC) : reinsurance, select and ultimate rates, partial capitation and blended rates, and experience rating. using data from the Continuous Medicare History Sample (CMHS) and from one HMO, the study concluded that there are a range of methods than can improve payment to HMOs. Specifically, partial capitation and blended rates were effective in limiting the financial risk incurred by plans. Reinsurance models protected against catastrophic costs incurred by plans while the rate adjustments used in select and ultimate rates can mitigate against severe selection effects. Finally, experience rating did not accurately predict future costs for Medicare beneficiaries. However, each method used in this study represented improvements over the current AAPCC."-- NTIS report documentation page
Photocopy
Prepared for: Department of Health & Human Services, Health Care Financing Administration ;
1 v. (various pagings) : 28 cm
Final report ; 1996
Photocopy. Springfield, VA. : Dept. of Commerce, National Technical Information Service, 28 cm
Prepared for: Department of Health & Human Services, Health Care Financing Administration ; Cooperative agreement no. 17-C-90033/3
- Addeddate
- 2014-02-24 19:54:17.114073
- Associated-names
- Actuarial Research Corporation; United States. Health Care Financing Administration
- Boxid
- 38095000130316
- External-identifier
- urn:oclc:record:1038780778
- Foldoutcount
- 0
- Identifier
- actuarialmethods00wrig_0
- Identifier-ark
- ark:/13960/t47q1km2r
- Identifier_bib
- 38095000130316
- Invoice
- 111
- Ocr_converted
- abbyy-to-hocr 1.1.37
- Ocr_module_version
- 0.0.21
- Openlibrary_edition
- OL25598151M
- Openlibrary_work
- OL17027555W
- Page-progression
- lr
- Page_number_confidence
- 0
- Page_number_module_version
- 1.0.3
- Pages
- 175
- Possible copyright status
- The Centers for Medicare & Medicaid Services Library is unaware of any copyright restrictions for this item.
- Scandate
- 20140319195153
- Scanner
- sheetfed01.capitolhill.archive.org
- Scanningcenter
- capitolhill
- Source
- special
- Worldcat (source edition)
- 844094410
- Year
- 1996
- Full catalog record
- MARCXML
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